Individual
MR. CHAD KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,CAP, ICADC
Contact information
Practice address
3848 FAU BOULVARD, INNOVATION CENTER 2, SUITE 200, BOCA RATON, FL 33431
(561) 251-7263
Mailing address
4242 PINE CONE LN, BOYNTON BEACH, FL 33436
(561) 251-7263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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